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Immediate post-injection care focuses on minimising local reactions: Apply a cold compress to the injection site for 1015 minutes to reduce pain and swelling Avoid massaging or rubbing the area, which can increase bruising Wear loose clothing that doesn't irritate the injection site Gentle movement of the affected limb may help reduce stiffness Hydration and nutrition support general wellbeing during treatment

This leads to damage to tissue cells, including vascular ECs ( Elevated Hcy levels have been implicated in perturbing fat metabolism, presenting a potential link between Hcy and adipose tissue dysfunction, which further contributes to cardiovascular disease risk

These patients may only need a handful of injections to restore their B12 levels, which can then be maintained with a high-dose supplement or scheduled injections